Individual
DR. ELISABETH GRANT BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8528 PIT STOP CT NW STE 30, CONCORD, NC 28027-8221
(704) 286-1794
Mailing address
2511 CLOISTER DR, CHARLOTTE, NC 28211-3915
(704) 957-2161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13679
NC
Other
Enumeration date
04/15/2024
Last updated
07/11/2025
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